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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line. 639-4171 MST
BUP
(tate Requested A.M PM BLD
Location 1 , S > CQ Y� S( ,(/��� T-) rZ Suite
MEC
Contact Person Ph _ PLM
Contractor Ph SWR
BUILDING Tenant/Owner _ ELC
Retaining Wall -- ELR�
Footing f NOT RE
Foundation QUF;STED FPS
Fty Drain FOUND DURING RESF ARCH
Crawl Drain I NO INSPEC"1'ION(s) IN FII,F SGN
Slab
Post&Beam -- SIT —
Ext Sheath/Shear
Int Sheath/Shear _
Framing
Insulation ------ — -- ---- -..-_
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof - --- --
Misc:
Final —
PASS PART FAIL ------- _ --- ---
PLUMBING —
Post& Beam --------- ----- _ -__-^.
Under Slab
Top Out - —
Water Service
Sanitary Sewer Q --
Rain Drains
Final --
PASS PART FAIL
MECHANICAL — --
Post& Beam
Rough In —
Gas Line
Smoke Dampers
Final - - --- - -----. _
PASS PART FAIL
fE LECTR ..AL --- -_--__-- -.
SeWtCff
Rough In
UG/Slab ---
L.ow Voltage -1 —
F1'Alarm _
PASS PART FAIL _.—
ISITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Cc!ch Qasin
Fire Supply Line I ] Please L-ill for reinspection RE:_ ( ]Unable to inspect-no access
ADA
Approach/Sidewalk Date Other _ Inspector � Ext
Final _
PASS PART _FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 ELECTRICAL PERMIT —
RESTRICTED ENERGY
PERMIT #: ELR97-0130
DATE ISSUED: 05/05/97
PARCEL: 2SI04CC—HW023
SITE ADDRESS. . . : 133--13 SW ASCENSION DR
SUBDIVISION. . . . :HILL'SHTRF WOODS ZONIN3:R-7 PD
BLOCK. . . . . . . . . . . L.0 T. . . . . . . . . . . . . :0 t---'3 JURISDICTN:
Project Description: Outdoor landscape lighting
----------------------------------------------------------------------------------
A. RFS IDENT TAt----------- B. COMMERCIAL-------------------------------------------
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . .. LANDSCAPE/IRRIGAT. . :
GARAGEOPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . .
HVAC. . . . . . . . . . . . . .. DATA/TELE COMM. . : NURSE CALLS. . . . . . . .
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: -. -X HVAC. . . . . . . . . . . . . PROTECTIVE SIGNAL. . :
INSTRUMENTATION,, : OTHER. . :
TOTAL # OF SYSTEMS: 0
Owner: FEES ___—_-----_-----_
MARSH type amolint by date recpt
13333 SW ASCENSION DR PRMT $ 40. 00 DRA 05/05.197 97-294086
TIGARD OR 97224 5Pr.'T $ 2. 00 DRA 05/05/97 97—F4140i,
6
Phone
Contractor:
CEDAR LANDSCAPE $ 42. 00 TOTAL
14375 SW PATRICIA
------- REQUIRED INSPECTIONS
HTLL-SBORO OR 97123 Elect' l Ser%,ice
Phone #: 628-3411 Elect' l. Final
Reg #. . : 000058 n _
Imis permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other tee Signat tare
applicable laws. All work wiil be done in accovdance with
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more
than 180 days.
-----------------OWNER INSTALLATION ONLY--------------------------- -----
The installation is being made on property I own which is not intended for
-;ale, lease, or rent.
r)WNE.R' S SIGNATURE- DATE:
........ TOR INSTALLATION ONLY——--------_-----------------
IGNATURE
NLY——--------------------------IGNATURE OF SUPR. ELEC9N: DATE:
I T(7F.7NSE NO,
Call for inspection — 639-4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Iiall Blvd, Ct!I` % 7-0/56
Tigard,OR 47223 PFRMIT# —
Phone(503)639-4171
FAX (503)684-7297 DATE ISSUED J
TDD NL (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY •� �
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
/&,?.4- �.J flsc��I/s1o.11 .C7a.
Address RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 140.Qp
TigRkD OR, g?.e1.21 (FOR ALL SYSTEM S)
City State Zip
Check-TTvne of Work InvoJnd:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo°ystems
IS NOT STARTED WITHIN IW DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
❑ Heating,Ventilation and Air Conditioning System'
Contractor�tk9 �A.t EfscType Lr4sc'.t�e ❑ Vacuum System/s' /
Address Mj 7f 3 u) 1),41 Qic/r9 Ale- //il�s�x 7n Other F44 4cck L�N��s f 1.•yl�,.� _
Date —S ` I—^ q7 ^_ _ COMMERCIAL—Fee for each system . . . . . . . . . S40.00
(SEE CAR 918-260-260)
Property Owner Check Ty9j_dWork Involved:
Contractor's Board Reg. No. _ 5�'9E.� ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone# 3 1 e ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control•
City State Zip ❑ Medical
This permit is Issued under OAK 918-320-370,This applicant agrees to make only ❑ Nurse Calls
restricted energy installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting*
following:
❑ Protective Signaling
1. Only use electrical licensed persons to do Installations where required.(Certain
residential and other transactions are exempt from licensing.These have ❑ Other
asterisks(`).All others need licensing).
2. Call for an inspection w;ten all of the installations under this permit are ready
for Inspection at 503-6394173.
❑ Number of Systems
1 Purchase separate permits for all installations that are not ready for Inspection
when the inspector is out to inspect tinder this permit. •No licenses are required. Licenses are required for all other installations.
4. Assume responsibility for assuring that all corrections required by the inspector
are done,and
5. Assume responsibility for calling for a final inspection when all of the 5. FEES
corrections are completed.
dO
The person signing for this permit must be the applicant or a person a. Enter Fees $ 90
authorizerto _ d the applicant.�t��e b. 5%Surcharge(.US x total shave) $
Signature o0
TOTAL $
Authority if other than applicant
ENFRGAP.CHP
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheat, Framing Mec
Plbg.Und/Flr/Slab Plbg.Top Uut insulation -Elect.
Post/Beam Struct. Mach, Rough-in Gyp. Bd. d�
San. Sewer Gas Line Appr/Sdwlkeins.
Other: --
Date: � 10 1 1_��� A.M. P.M. 'Entry:J
Address: _ 3,3_
Tenant:_ �"� Ste:___ MST: '.� �
BLIP:
_--
Con/Own: (o1(,4 MEC: -
PLM: _
ELC: _
THE FOLLOWING CORRECTIONS ARE REQUIRED- EL.R:
-1f ': �.tir sec GIL��d�aLl �
Insp or: � _.— Date:
APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE --�
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service
FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing
LMeL—h
Plbg.Und/Flr/Slab Plbg. Top Out Insulation
c•Elect�
Post/Beam Struct, Mach. Rough-in G
YP. Bd. -Bldg.
San. Sewer Gas Line A r/Sdwlk
PP Reins.
Other:
Date: �� �'_ A.M._. --_
Entry:
Address:
ti--�
Tenant: Ste: _ MST:
Con/Own: BUP: --
---
PLM:
THE FOLLOWING r,ORRECTIONS ARE REQUIRED: ELR. G
Inspec . -----�y�'aL-._--i
00,
-- oats: i
PPROVED —DISAPPROVED/CALL FOR REINSP.
VF CO
tylAS"FIER F-ER111 r
CITY OF TIGARD PERM I T *1. . . . . . . IYIST9504 '.�'
COMMUNITY DEVELOPMENT DEPARTMENT DA FL ISS),L)ED: 02/07/96
13125 SW Hall Blvd.Tigard,Oregon 9722396199 (503)639.4171
PARCEL--
i!.I'E AI)DREC*:1111 1 ' ;33 SW ASCENSION DR
LsDIVi;ION. . . . : ZONING. R7 F,1".)
.. . . . . . . . . . L(31.. . . . . . . . . . . . .
4sai PATH I
-------_____.._-.----------------------------------••--- ------ WILDING ------------------------------------------------------------ -
1ISSUE. STORIES......,.. 2 FLOOR AREAS-- BASEMENT...: 0 if REQUIRED SETBACKS---- REQUIRED-------------. I
:LASS
EQUIRED--------------
*LASS OF WORK.:NEW FIRST....: 2343 sf GrIAGE.....: 576 sf LEFT..........:1 5
HEIGHT..,.....: 28 SMOKE DETECTRS: Y
OF LGE...:SF FLOOR LOAD....: 40 SECOND...: 41 if FRONT.........: 20 PARKING SPACES: I
-YPE OF CONST.:5N DWELLING UNITS: I FINBSMENT: 0 5f RIGHT.........: 6
..CCOPANCY GRP.-R3 BDRM; 3 BATH: 3 TOTAL------: 0 sf VALUE—$; 119731 REAR..........: 30
----------------------•--------------------------------------- PLUMBING --------------------
......... 2 WATER CLOSETS.: 3 WASHING MACH..: I LAUNDRY TRAYS.; I RAIN DRAIN ft: 0 TRAPS.........: li,
—TORIES....: 5 DISIM*HERS."'. I FLOOR DRAINS..; 0 SEWER LINE ft: 0 SF RAIN DRAINS: I CATCH BASINS. 0
-11 SHOWERS...., 2 GARBAGE DISC..: I WATER HEATERS.: I WATER LINE ft: 100 BCRFLW PFEVNTR: I GREAc� Tlen;�..
07:0 FIXTURES:
---------------------------------------------------------__ MECHANICAL --------------------------------
UEL TYPES------------ FURN ( 100k 0 BOIL/CMP ( 3HPi 0 GENT FANS.....: 5 CLOTHES DRYERS: i
6(4Si " , TURN )=100K i UNIT HEATERS..: 0 HOOI:......... I OTHER UNITS...: I
Ax INP.. 0 BTU FLOOF. rURNKES. 0 VENTS.........1 0 WOODSTOVEL.... 0 GAS OUTLETS..., I
--------------------------------------------------------------- ELECTRICAL -------------------------------------—UNIT---RESIDENTIAL ---g,"RVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---5RAKH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-
000
NSPECTIONSM SF OR LESS: I 0 - W'SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: Q
W;
SVC
ADD I L 5W.: 4 211 - �;`00 a3p..- 0 0 L"to amp..: 0 amp..: 0 E01 4W asp.. 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: @ PER HOUR....... 0
AMITED ENERGY.: 0 481 - W sap.. : 0 401 Let amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL.... 0 IN PLANT......:
,W HM/SVC/FDR: 0 601 -- ION alp.: 0 601+81ps-1000 V: 0 MINOR LABEL -16; 0
.000+ amp/volt.: 0 --------------------------------------- PLAN REVIEW SECTION ------------------------------------
Reconnect onl).: 0 )--A RES ')NITS...- SVC/FDR)=225 A.- ) 600 V NOMINAL: CLS AREA/SPC OCC:
---...__..----_.---------- ------------------------ ELECTRICAL - RESTRICTED ENERGY ---------------------------------------------------------
51' RESIDENTIAL--------------------------• B. COMMERCIAL----•- ---------------------------------------------------------------------•--
"iblU
OMMERCIAL-------------------------------------------------------------------------------
"iblU I STEREO. r,'u:UUM SYSTEM.,: AUDIO & STEREO.. FIRE ALARM...... INTERCOMII'PGING: OUTDOOR LNDSC LT:
'WRGi_AR ALARM.. UTH.- 1. X BOILER.......... MVAC...........: LANV5CAPE/IRRJG: PROTECTIVE SIGNL:
,GARAGE OPEN[c... CLOCK,.........: INSTRUMENTATION: MEDICAL........: OTHR:
........ DATA/TELE COMM.: NURSE CALLS..... I X # SYSTEM;-,
-_.._.__.._---.____------------------Contractor: ------------------------------ TOTAL FEES: 407.85
;HELBURNE- DEV SHELBURNE DEVELOPMENT
N N%'P"G RD 7006 SW NYBERG RD
uALATIN OR 9746c, WALATIN OR 9706E
noner
Phone #: 69�4363
;ey 0..: 423M
i:ersi is issued subject to the regulations contained in the Tigard Mum ciPai Code, Etate of Ore, Specialty Codes and all other
laws. All work will be dome in accordance with approved plans. This permit will expre if work is not started within IN
,av, cf issuarce, or if work is suspended for more than IN days.
-----------------------------------
REQUIRED INSPECTIONS ---------------------------- _.._-------__-..--------...__...._
=noting ;rsp PLM/Underfloor Framing Insp Gyp Board Insp Electrical Final
o,,nc,a,,:on !nip Mechanical Insp Low 40itagf Rair, drain Insp Mechinicai Final
astibest ;atruct P,usb Top Out Fireplace Insp, Water Line Insp Plumb Final
�Iost/Bpam Meehan Electrical Set-yi *a s Lir ' c Wattr Service In Building Final
Crawl Drain Electrical R J 4ppr/Sdwlk Insp Erosion Control
P i-M i t t e ISS ,.e Ci rlCt
cmwa�_
cf 5- 0 q-t)'_-
it
zjLWLk LUNW\iLt- I ILAN
PERMIT
CITY OF TIGARDV,F--'R M I T #. . . . . . . : SWR95--0530
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 02/07/56
13125 SW Hall Blvd,Tigard,Oregon 9722308199 (503)830.41 71 PARCEL: .:,cj104CC-HW023
;ITE ADDRESS. 13-7:313 SW ASCENSION DR ZONING: R-7 F1)
r_+LOLK. . . . . . . . . . LO"I.. . . . . . . . . . . . .
TENANT NAME. . . . . : FIXTURE UNITS. . . : 0
USA NO. . . . . . . . . . : DWELL 1 IVC; UN ITS. . : I
:LASS OF: WORK. . . :NEW
I*YfNO. OF BUILDINGS: I
.-;E OF USF;'. . . . . ::SF IMPERV SURFACE: 0 sf
I N'3TALL TYPE-- - - - :BUSWR
Aemar-k-s : PATH I
FEES
3HELDURNE DEV type
amol.tnt by date t-ec Pt
7000 SW NYBERG RD pRMT $ 2200. 00 JMF4 02/07/96 96-9999
INSP $ 35. 00 jr110-A 02/07/96 96 -9 r,
TUALA,rIN OR 97062
Phone #- 692-6383
Contr-actov—
CONTRACTOR. NOT ON FILE
_...__...$_._035. 00
2,L35. L710 TOTAL
ig
REQUIRED INSPECTIONS
Iris Applicant agrees to comply with all the rules and regulations Sewer- InspeL'tiOn
of the Unified Sewage Agency- The permit expires Jae days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. if the sewer is not located at the measurement
given, the installer snall prospect 3 feet in all directions from
the distance given. if not so located, the in aller shaWpurchase
a "Tap ano Side Sewer" Permit %nd th rcy 1 ins
v M q
aea -Cktvt-k�--W-
L."&Jl for- inspection 639-4175
Residential Building Permit Application
City vt i iyard
f,125 SVv Hall `Ivd.
Tigard, S 07223
(503) 6,1-1171
JobrftP Address: 11
Office Use Only
5u>,rii. pion: �tG �[!/yot?l— Lot # Z3 _
�. Contact Date i I Initials
Va'�. :ia� 1 > ✓/ ------ Result —
^low Cons- xvon On y: !Square Footage) Planck/Rec
Permit # /j•t styi�� ��3
Garage: ,� _—_ Reissue of_ _
Tl Map & TL # _1
Corner Lot? Y N Flag Lot? Y N Zone
Plat #
Owner: _ !F_LI�G[�N� _ 1� _
Approvals Required
Address _-�L�--1101/ Lit
Planning Setbacks ,cf' J _ Solar
�AL4 T1����� Y740 6Z Engineering
_
Phone l sOther
LJ — ---— - —
Items Required
Contractor: _ �_ Nf'L�/1 AAZ_V 1v __
Subcontractors
Address ATruss Details
Other __.---- ------ --
-Z7_.�a.����� �1
Phone L-0-7 ) Notes -- -- ---
_���' --
Contractor's License
(attach opy of cu ent Oregon license)
Contact Name: r _TL`
Contact Phone ( ,o S t 6 2 -
Subcontractors: `7 �`1 �,/1'`,'r��, Architect./Engineer: �
-- L���,I l�l
furnbing Address :Z010 J _ YVefriC-G ,
-_ � K
Mechanical. �� U�—�o�✓1�4,QT_ �. ,'L,14�4�71_s24 _�_7L�(2Z
;attach copy of current OR Contractors Lien;c)
y ; , PI one
JOB C F S C R1Pfit2N w �,o/V��__—, vac --
_� � 6_3 F3
Applica Sicnatur Applicant Phone number
r
Received by —,_ '� � L Date Received:
ropn'nn:• oo
1
Permit 0 Account Description Amount Ams. Pd. Bal. Due
Bldg. Permit (BUILD) I.�
Plumb. Permit (PLUMB) v21;, 5- Z
Mach. Permit (MBCH) y ly
Matt -M RRN V U
Bldg.
Plumb:
Mach:
Lc- 0, -0-
Plan
Plan Check (PLANCK)
Bldg:
Plumb:
Mach:
, /ll4 . Sao Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) _ 3
Parks Uev Charge (PKSOC, SG J .S v L_
Residentiai TIF (TIF-R) Z/ I'l ?4)
Mass Transit TIF (TIF-MT) t)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) _
Office TIF (TIF40) —
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) �,1_ _ -
Erosion Planck/USA (ERPI_AN) �O•Q �-v_
Erosion Planck/COT (EROSN) _ _ L i-V
•� 1
TOTALS: � 2• S. ��
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. Z.A Tigard, OR 97223 PPeermitrmit # TRec. # t
_
Phone (503) 639-4171 Date Issued
CITY OF TIGARD FAX (503) 684-7297 Issued by
TDr) No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: �- 4. Complete Fee Schedule Beiow:
Name of Development Number of Inspections per permit allowed ---
�,.i
Address f _l j �.i� /);i(I T Z.; Service included Items Cost(il Sum
City/Sta',/Zip_ 4a. Residential-per unit ' ^
1000 N1 II or leen $110 00 �y.
Name or name of business),��J�� nn ftN Each addrhonel S00 s9 It or / -v
( {.L portion thereof Y S?5 00 �1
Commercial ❑ Residential(�
Limited Energy �' $2500
Ew+Manul'd Horne or Modular ?
Dwelling— io.or Feeder —M SM 00
2a. Contractor installation only: 4b.Services or Feeders
IretallaLon,alteration or reloration ?
F lectrical Contractor //—'R -4_C)Al 5, 200 amps or lees ___ $00 00
201 amps to 400 amps $80 00
Address�S_ C� 5_, Ll�c�cxl SLc rA --
Cit State Zi 7 401 amps to 100 ammo $12000 _
y �_ P�_�i_ 8(11 amps to 1000 amps $18000 ?
PhoneNo.��c/ c�ertuooamtx; ions $3e000 2
Contractor's license No. y 3 Reconnect only $50 00
Contractor's Board Reg. No. 1114.E 4c.Temporary Services or Feeders
Iretallelmn alteration or relocation
Signature of Supr. Elec'rf__ 200 amps or leas — $so no _
License No.__1,2:V_0 Phone No. 7 7 1' -/G cr/., 201 ampe to 400 amps 100$75oO _
401 amps to BOG anima $100 00
Over 800 amps 10 1000 Volta
2b. For, owner installations: ase W above
4d. Branch Circuits
Print Owner's Name_ New altainhon or exlensior per panel
Address a)rhe fee for branch arrude with
pumhar»of wrrfce or boder W. 1
City_ _. State ZID Fadi branch amid _ $',00
Phone No. b)the fee Ion branch nrcude withouf
Fhe installation, is being made on pr)perty I own which is purchs"of service or*wW few.
First branch circuit $:15 00 _
not intended for sale, lease or rent [rich addroornl branch circuit $5 00
Owners Signature _ 4e. Miscellaneous
(Service or feeder not included) z
3. Plan Review section (i/required): F_ach pump or imgauon aide $400 _
Each sign or outline lrghlorg —_ $4000
Signal amud(s)or a IrmAed energy ,^ nO
Please check appropriate item and enter fee in section 5B. panel alteration or exlwision �w $4000 �riU•Sl
_4 or more residential units In one structure Minor Labels(lo) $loo 00
Service and feeder 225 amps or more
__ 4t. Each additional inspection over
System over 600 molts nominal
_ Classified area or structure containin t special occupancy the allowable in any of the above
hour as described In N c C Chaplet 5 per our on $$.5500
Per hn5 00
In Plant $5500
Submil 2 sets of plane with application where any of the above
apply. Not required for temporary construction servicaolt. S. Fees:
NOTICE Ss. Enter total of above fees $
5%Surcharge(05 X toal fees) $ _
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotol $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb.Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDnNED FOR Plan Review if regtared(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ _
COMMENCED ❑ Trust Account 0 $
Balance Due $
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PLUMBING PERMIT
PERMIT #. . . . . . . : PLM96-0177
CITY OF TIGARD DATE ISSUEDt 06/27/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Holl Blvd,Tiporo,Orpon 97223.6199 (503)639-4171 PARCEL: 2S 104CC—HW023
'3ITE: ADDRESS. . . s 1:3333 SW ASCENSION DR
SUBDIVISION. . . . a HILLSHIRE WOODS ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :02:a
~
CLASS OF WORK. . sADD ____ GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . sSFF WASHING MACH. . . . . . : 0 BACKFLOW PR[.'VNTRS. . : 1
OCCUPANCY GRF'. . t R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . 0
STORIES. . . . . . . . s 0 WATER HEATERS. . . . . : 0 CATr:H BASINS. . . . . . . . 111
1=IXTURES---___- _ ____-- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAII :�. . . . . . 0
SINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . s 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . . : III OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . . : 0 SEWER LINE (ft) . . . : 0
WATER CLOSETS. . : 0 WATEP LINE (ft ) . . . t 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0
1lemarks : Installing backflow prevention device
Owner: --------------------------------- ------------------- FE:ES
SHE::LBURNE DEV type amount by date recpt
7008 SW NYBERG RD PRMT $ 15. 00 B 06/27/96 96-281073
5PCT E 0. 75 B 06/27/96 96-281073
lUAL.ATIN OR 971116
Phone #s 692--6383
contract or t ----_.__._—____.___--__----_._.---.—
MASTERrS TOUCH SERVICES INC
DONALD BURTON
2B02 SW MICHAEL DR
WEST L I NN OR 97068 --
i'h orr e #: 655-6436 f 15. 75 'TOTAL
Reg #. . - 11509
------- REQUIRED INSPECTIONS ------- -
This persit is issued subject to the regulations contained in the RP/Backflow ;:'—ev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspectic.rl
applicable laws. All work will be done in accordance with
approved plans. This pertit will expire If work is not started
within 180 days of issuance, or if work is suspended for morethan 180 days.
e r m i t t e e S 1 a t u r e t
.isl,ked By:
Call for inspection - 6.39--4175
I��rrl /u•t Tµ X
Gty of Tigard s ``%t PLUMBING PERMIT A?PLICATION PlancPermit #
#
13125 SW Hall Blvd.
Permit
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
Name of Derebymenl New Single Family RBSidences OnIY
Ad&.. 1 ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
,Job S, w 5 C f' n;r ,t t�/ ❑ 3 BATH HOUSE$225.00
Fee includes all plumbing fixtures in the dwelling and the first 100 feet
N.
Address cnwa and storm sewer. See fees below.
or water service, sanitary sewer a
1" QTY PRICE AMT
Name name of er,m.,n FIXTURES _
f , �r O Sink 9.00
j(
" I - 9.00
Me■n,naaeee on..e Lavatory -
-� I t. , / Tub or Tub/Shower Comb. 9.00
Owner C tdJ ti �' L ` Zip Shower Only 9.00
c gl5lne
L
Water Closet 9.00
Name lar name of 1---I Dishwasher 9'00
Garbage Disposal 9.00
Occupant Meso�,... ah.. Washing Machine 9.00
Floor Drain 900
— u, Water Heater 9.00
C'Ir191eie _.
Laundry Room Tray 9.00
Name
Urinal 9.00
Other Fixtures (Specify) 9.00
� 9.00
Me■n0 Mdeee
Contractor ( 9.00
ZildStr• r"fou�C--�rlw�a- 9.00
GIYI91Ne to .
Y202 S.W.Michael Drive Sewer 1st 100' 30.00
West Linn,OR 97068 --" 25.00
Bleu ReQy�„�„Ne ��Ir■,. T•,Nn Sewer-ea. Addit. 100'
n Water Service 1st 100' 30.00
� 25.00
I hereby acknowledge t at I have read this application, that the Water Service ea. Addit. 200'
rued agent of _ 3000
information given is correct, that I am the owner or autho 9 Storm &Rain Drain 1st 100'
the owner, that plans submitted are in compliance with State laws, that 25.00
1 am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit�100r _ —
number given is correct. (If exempt from State registration, please Mobile Home Space 25.00
give reason below.)
Back Flow Prevention
FA
Anti-Pollution Device 900
D.1. Waste Not
':yr.iu,e I�rwe,rn epenll
o a Fixture 9.0
9'00
Describework new (J addition O alteration Q repair Q 40.00/hrto be done residential O non-residential 0 t. Plumbing
pequested Inspections 40.00lhr
Existing use of Rain Drain, single family dwelling 30.00
building or property — Residential backflow prevention
devices
1 15.00 j.Lel
Proposed use of __
building or property —.— - *(Except residential backflow
prevention devices)
NOTICE _—
•Minimum Fee $25.00 SUBTOTAL
—
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5% SURCHARGE
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SW FENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25% OF SUBTOTAL
COMMENCED. -- —
TOTAL
Special Conditions _
Date issued by
■
MECHANICAL
CITY OF TIGARD
PERMIT
PERMIT #. . . . . . . : MEC96-02:8-
COMMUNITY DEVELOPMENT DEPARTMENT DATE I SSUED a 08/19/96
13125 SW Hail Blvd.Tigard,Oregon 07223.6199 (503)630.4171
PARCEL: .:moi 104CC--HWOc 3
SITL AUDRL55. . . : 13333 SW ASCENSION DR
:SUBDIVISION. . . . e HILLSHIRE: WOODS ZONING, R i FD
I-LOCK. . . . . . . . . . , LOT. . . . . . . . . . . . . :023
C.I_ASSYOF�WORK. . sNEW-- ---- FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0
'3'TURIES. . . . . . . , 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES--------------- 0-3 HP. . . . : 1 DOMES. INCIN: 0
3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 STU 15--30 IAP. . . . : 0 REPAIR UN I TS s 0
F I RE DAMPERS?. . : 30--50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . e 0 CLO DRYERS. . : 0
NO. OF UNITS----- - AIR HANDLING UNITS OTHER UNITS. : 0
F=URN ( 100K BTU: 0 (= 10000 c.f m: 0 GAS OUTLETS. : 0
TURN )=100K BTU: 0 > 10000 cfm: 0
Remark>se Installing a 3Hp Rheem A/C snit.
Owner: __ --___ _---__--_-___----_-_ --____--___--_-_.--_--_._ FEES - - _---__-_--_-._..
GRANT MARSH type am01.lnt by date recpt
1 .3333 SW ASCENSION DR PRMT $ 25. 00 CJS 09/19/96 96-83014
5PCT t 1. 25 CJS 08/19/96 96-283014
I'I CARD OR 97223
Phone #s
Contractor: -_.______-__.---____._..__--•---- --___--
SUNSET FUEL CO
F'0 BOX 42287
PORTLAND OR 97242 ------------------------------------
Phone
--- ----------------------------___Phone #: 503-234-0611 f 26. 25 TOTAL
Reg #. . : 002374
_______ REQUIRED INSPECTIONS ------
This permit is issued subject to the reg,,latlons contained in the Mechanical Inspi
Tigard Municipal Code. State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance pith Final Inspection
approved plans. This permit will expire 1f work is not started
within 198 davc of issuance. or if wore is suspended for tore
than 192 davr.
Permittee S i g n a t i.I r•e :
Lail for inspection - 639--4175
City of Tigard MECHANICAL PERMIT Planck/Rec. # e;e u90►y
13125 sw Hall Blvd. APPLICATION Permit # ,MK(#5-Q -
Tigard, OR 97223
(5037 639-4171
•�•• ••• ••T� escnption —T—'
Table 3A Mechanical Cede CITY PRICE AMT
�IT.T
Job q-:>CSLn���C)C.-, 1) Permit Fee 0• 0- 10170
Address
77 ,�"�� oz r?i"�� t� 2) Supplemental Permit 3.00
m• w...... Furnace to 100,000 BTU
rG 0j— 1) incl
. ducts 3 vents 6.00
o . ^^• - Furnace 100,000 BTU +
Owner 2) incl. ducts 8 vents 7 50
,�r,• / oor umance
cleA•.,... 3) incl. vent 600
uspen a seater, wail eater
tl or floor mounted heater 600
.wol-•�••• M,• Vent not inc in
OCCLIpant 5) appliance permit 300
Zap •1• Repair of heating, re rig.
Fi) cooling, absorption unit 600
_- ••• — ofer orcomp heat pump, air con
� + _ 7) to 3 HP, absorp unit to 100K BTU _ l 6.00
-go-7e-, or comp, heat pump, air con
�y1 ��� 8) 3-15 HP, absorp unit to 500K BTU 11 00
Contractor Boiler or comp, heat pump, air con
1( 0(�- ��� 9) 15-30 HP, absorp unit 5.1 and BTU 1500
•• w.u•1'-aP—
Boiler or romp, heat pump. air cond.
1 �)D 10) 30-50 HP, absorp unit 1-1 75 and RTU 22.50
ereby acacKn-midge that I have read this application. t —at—Fe— Boiler or comp, e—at-p-:;np, air con
information given is correct, that I am the owner or authorized 11) > 50 HP, absorp unit 1 75 mil BTU 37 50
agent of the owner, that plans submitted are in compliance with Air hanroing unit to
4 State laws, that I am register + with the Construction Contractcr's 12) 10.000 CFM 4 50
Board, that the number give s correct (If exempt from State it ian ing unit
registration, please give reas.n below) 13) 10.010 CTM + 7.50
on portable
14) evaporate cooler 4 50
ecte
151 to a single duct 3 00
`•/ -- ^ T
'ventilation system not
(
/ 1 'L/,�, � C• 16) included in appliance hermit 4 50
aw,. •r. ,.1,,•" Hood served by
171 mechanical exhaust 4 50
Describe work newadds l0n lJ alteration repair
l_) Commercia or industrial
to be done residential (�non-resident al Q t 8) type incinerator 30 00
--Existing use of Other i e. w000stove. water
building or procerty _ 19) heater solar, clothes dryers etc, 4 50
Proposed use of 20) Gas Dicing one to four outlets 200
building or property
211 More than 4-per outlet (each) 200
Type of fuel • oil 0 natural gas O LPG O electric 1,)
NOTICE—
Minimum Fee S25 00 SUBTOTAL O�
PERMITS BECOME VOID IF WORK OR C"NSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR 5% SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25', OF SUBTOTAL
AFTER WORK IS COMMENCED , --
�5 � rC ��4LCc)it/l�
Special Conditions
TOTAL_
N�_C�YiUc t �__ Date issued �`Y by f
• Lrr�iIMD1$T$.I,IECMOSIt
i
•
sense
FUEL COMPANY
2944 S.E. POWELL BLVD. P.O. BOX 42287 PORTLAND, OR 97242-0287 TELEPHONE 234-0611 FAX k 503-234-0380
tN
_moi
CITY OF TIGARD ELECTRICAL PI_RMIT
PERMIT #: EU:96--0545
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/19/96
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)539.4171 PARCEL: 2S I04CC--HWO23
SITE ADDRESS. . . : 1:33.33 SW ASCENSION DR
SUBDIVISION. . . . : HILLSHIRE WOODS ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :023
Project Descriptions Installing one branch circuit for a :3Hp A/C i.cnit.
--------------------------------------------------------------------------------------
---RESIDENTIAL UNIT---- SRVC/FEEDERS---- ------MISCELLANEOUS---
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 •- 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL (10) . . . : 0
----SERVICE/FEEDER•------ ------BRANCH CIRCUITS------- ----ADD' L INSPECTIONS--
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : III 1st W/0 SRVC OR FDR. : 1 PIER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L. BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . s 0
601 .•_ 1000 amp. . . . . : REVIEW
1000+ amp/volt. . . . . : 0 )-4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . s
Reconnect only. . . . . 16 SVC/FDR >= 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owrer: --__.__._______ ._______.._.______.___________.___._______- - FEES ----------
GRANT MARSH type amorant by date recpt
13333 SW ASCENSION DR PRhTT $ :35. 00 CTR 06/19/96 96-283014
5PCT $ 1. 75 CTR 08/19/96 96-283014
TIGARD OR 97223
Phone #:
Contractor:
SUNSET FUEL CO $ 36. 75 TOTAL
1:10 BOX 42287
2944 SE POWELL BLVD (97202) ---•---- REQUIRED INSPECTIONS -- - -
PORTLAND OR 97242-•V-►287 Wall Cover Elect" 1 Final
Plhone #: 503-234-0611 Elect' 1 Service
Reg #. . : 2374
This perait is issued sub)ect to the regulations contained in the
Tigard Municipal Code, State of Dre, Specialty Codes and all other Permittee Signatr.rre
applicable laws. All work will be done in acrordanre with
approved plans. This perut will expire if work is not started
within 1611 days of issuanre, or if wr•-k is suspended for more
than 188 days. Issued By
INSTALLATION
The installation is being macre on property I own which is not intended for
kale, lease, or rent.
OWNER' S SIGNATURE: _ --_.__ DATE
-CONTRACTOR INSTALLATION ONLY--------------------.-----___-_
;.,1 GNATURE OF SUPR. ELEC' N: _ 1'ylr,,I pc.� —. DATE s
LICENSE NO:
Call for inspection - 639--4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd
Tigard, OR 9722.3 Permit #
Date Issued ,Y- lel (W,-
Phone
FPhone (503) 639-4171
FAX (503) 684-7297
CITY OF TIGARD TDD No (503) 684-2772
Inspection (503) 6394175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development s N.mberw of llrspectl,)ns per permit allowed
AddressS�C'w ��r Jcn Service included Items Cost(ea) Sum
City/State/Zip �1\ c:)z "1� a� r_ 4a. Residential -per unit — — ---
��— pp 1000 sq. ft. or less $11000 4
Name (or nacre of business)6---) rLA V�-A Each addltional 500 sq ft or
---- port on thereof $2500
Commercial F-1 Residential Limited Energy $2500
Fach Manurd Home or Modular
Dwelling Service or Feeder $6800 `
2a. Contractor installation only:
4b. Services or Feeders
�� Y-` �( Installation,sherati m,or relocation
Electrical Contractt� J "`"" 200 amps or less $60 00
Addr ,,.;ZG1li,� St- 201 amps to 400 amps $8000
401 amps to 600 amps $120.00 1
City_ Statd::)< _ ZI 601 amps to 1000 amps $180.00 2
Phone No. �L ti Over 1000 amps or volts $34000
Job NO._� \ Reconnect only $5000
contractor's license NO.- , 4c. Temporary Services or Feeders
Contractor's Board R?g o, Installation,alteration,or relocation
Signature of Supr. Elec'n 200 amps or less
201 amps to 400 amps $5000
License No. iPhone No. 401 amps to 600 amps $7500
Over 600 amps to 1000 volts $10000 — -
2b. For owner installations: see"b"above
4d. Branch Circuits
Print Owner's Name New,alteration or extension per pone
Address a)The fee for branch circuits with
-_ — purchase M service or feeder fee.
City_ StateZlp___�, Each branch circuit. ,...r},.;r�-'�- $5.00 _
Phone Nob)The fee for branch clrcults without
The installation is being made on property I own which is purchase of service or feeder fee 2
not intended for sale, lease Or fent. First branch circuit __� $35 00 ��
Each additional branch circuit s5 00
Owner's Signature _ —_ 4e. Miscellaneous
(Service or feeder not included)
3. Plan Review section (if required): Each pump or Irrigation circle $40.00
Each sign or outline lighting $4000
Signal clrcult(s)or a limited energy
Please check appropriate Item and enter fee In section 5B. panel,alteration or extension $40.00
4 or more residential units in one structure Minor Labels(10) $10000
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N E.C. Chapter 5 Per inspection ___ $35 00
Per hour $5500
In Plant __ V 5 00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
5a. Enter total of above fees
NOTICE S
5% Surcharge (.05 X total tees) $ —t —Tn>
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ Z
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 250% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) S
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCEDA Trust Account p
p•,n nrP
Nalar•tce Due $
- - - - —